As a not-for-profit that offers home care, community support services and operates three retirement homes and a hospice, Carefor is unique within the local healthcare landscape.
Carefor’s mission is to meet to our clients’ health needs for high-quality home care and community support services. Previously our motto was, “When there’s a need for care, we’re there”, which speaks to how Carefor developed programs based on filling healthcare gaps in our communities.
One Organization with One Mission
While the programs we created served needs within those regions, it created an organization that operated largely fractured along geographical lines with different programs being offered differently in different regions. By taking the major step of aligning our programs across regions, we are now acting as one organization, making us a stronger and more efficient agency and partner.
Throughout our nearly 128-year history, our not-for-profit status has been a matter of pride as we have known that our entire focus has been on how can best serve the community rather than seeking profit. With the emergence of Ontario Health Teams, the increased competition coming from private home care agencies, and a limited provincial health care budget requiring us to do more with less, we know we must think more like a business – while maintaining the heart of a not-for-profit.
Investing in Client Care
As a learning organization, we’re always asking how we can do things better. Often this question has been asked of the quality of our care. As part of our 2024-27 Strategic Plan, we started asking more questions of Carefor itself and how we can improve our efficiency as well. As part of our Strategic Plan, our Client Care Investment Strategy’s (CCIS) goal is to look at all facets of our programs and services to determine how we can do both things.
Starting with our nursing program, the CCIS explored how we could do things differently to support our nurses’ focus on client care. We focused on our nursing volumes and our visits per day by nurses. Knowing our need to meet mandated volumes of care, we reviewed the opportunities and barriers nurses face in the providing care in community.
Working with all levels of our nursing and client services teams we adopted a nursing model of care focused on continuity of care and codesigned a geographic team approach, assigning teams in pods which reduced the distance nurses had to travel and ensured each region had a compliment of nursing specializations to ensure the needs of clients in the community were being met.
Recently, the team codesigned a Skills Day, a first for Carefor, whereby nurses participated in a variety of educational sessions (skills stations). These were led by their subject matter expert peers and provided our nurses with the opportunity to practice, upskill and achieve their yearly recertification for specialized interventions.
We are using the same LEAN Leadership Methodology that we used for our nursing program for our Personal Support Services. Now that we have a new Client Management System, Alayacare, this is proving to be a perfect time to look at optimizing our orientation and professional development model to best support new hires. We are also diving into the scheduling, payroll and visit verification processes with the goal of maximizing retention of part-time and casual PSWs. This in turn will reduce rejected visits and the payroll workload burden on clinical managers, achieving greater volumes and setting us up for future growth.
A word to describe our mindset is investment. We’re investing in our staff through training and technology like Alayacare, the implementation of best practice guidelines, as well as modernizing our physical spaces to create not only a beautiful space to live, but also one that aligns with our philosophy of care.
Connecting Philosophy with Action
Carefor Richmond Care Home is a perfect example of this. We have always believed this retirement home for women living with dementia in south west Ottawa is a hidden gem that offers exceptional dementia care in an intimate homelike environment. By adopting aspects of the Butterfly Model of care, an emotion-based approach to dementia care and by implementing an evidence-based best practice guideline for dementia care (developed by the Registered Nurses’ Association of Ontario – RNAO) we are improving the quality of care for our clients.
To support this, we are renovating the building to modernize it as well as make it a space that supports our residents’ specific needs. In the end this will make Richmond Care Home a home where excellence of care predominates, and where physical improvements will make the home more appealing in a very competitive space.
Some might say that thinking and operating more like a business pulls agencies like Carefor away from their values of providing exceptional care to all. What we believe is that it will help us provide the best care possible. It helps us explore new ways of working together across programs, bring in capital to help us innovate and support our staff with more training and better equipment. The result is cyclical and therefor sustainable.
Connecting the Head with the Heart
Operating as a not-for-profit in heart is admirable but operating as one without a focus on efficient and effective practice over time is a drain to an organization keeping it mired in ideals rather than best practice.
Our Client Care Investment Strategy is not top down. It is a collaboration with staff, clients and caregivers, pulling from their experiences to help us create the best and most sustainable home and community care agency that we can be.
The Provincial Government has made it clear over the past few years that that collaboration between healthcare providers is the way forward. By calling on the development of Ontario Health Teams (OHTs) which remove government agencies such as the former Local Health Integrated Networks from the centre of care, healthcare partners are working more directly with one another creating programs that put the client at the centre.
Carefor’s not-for-profit status has helped make Carefor a desirable partner in the five OHTs of which we are a part. It is why many of our staff have chosen to join us and have stayed with us for years. However, we see our new Strategic Plan as unifying Carefor along a purpose in a whole new way – one that best sets us on a path for another century.
Despite being nearly 128 years old, in many ways we feel like a new agency – one inspired to take on new challenges with new ideas.
Winter brings beautiful snowy landscapes and festive vibes, but it also introduces hazards like icy sidewalks and treacherous outdoor conditions that can lead to slips and falls. With winter’s challenges come increased risks for accidents, especially for older adults and those with limited mobility.
However, there are several proactive measures individuals can take to prevent slips and falls during the winter months. By staying alert, dressing appropriately, and maintaining safe environments, we can significantly reduce the risk of injury during the colder season.
1. Wear Appropriate Footwear
One of the most essential steps in preventing winter slips is wearing the right footwear. Shoes or boots with good tread can offer much-needed traction on icy surfaces. Look for shoes specifically designed for winter conditions, which often feature slip-resistant soles made from rubber or other materials that provide better grip. Avoid wearing shoes with smooth soles, as they can increase the likelihood of sliding. Additionally, ensure your shoes are waterproof to keep feet dry, as wet shoes can increase the risk of slipping. Being vigilant with this as even stepping out onto the front step to pick up a package in improper footwear can lead to a slip and fall.
2. Clear Walkways and Driveways
Icy sidewalks and driveways are some of the most common places where slips and falls occur during winter. It’s crucial to regularly shovel snow and apply ice melt to keep walking surfaces safe. Shoveling snow immediately after it falls can prevent it from turning into dangerous ice, which is often harder to remove. Ice-melting products such as salt, sand, or calcium chloride can help break down the ice and provide better traction. If you don’t have access to these products, sand alone can offer some grip.
For those unable to perform these tasks themselves, it’s a good idea to hire someone or ask a neighbor for assistance. In addition to removing snow and ice, be sure to check for potential hazards like uneven pavement or hidden puddles that can freeze over and create unseen dangers.
3. Use Handrails and Walk with Caution
If you have steps or walkways around your home, make sure handrails are sturdy and well-maintained to provide support when navigating slippery conditions. When walking outside, take small, deliberate steps and try to keep your center of gravity over your feet. Avoid rushing and always be mindful of icy patches, which may not be immediately visible, especially in shaded areas or at night.
During winter, it’s also wise to keep both hands free from distractions like phones or heavy bags, as this allows for better balance and control. When possible, walk in the middle of the sidewalk where snow may have been cleared or salted more thoroughly.
4. Keep Indoor Areas Dry
Even when you’re inside, winter weather can still create hazards. Wet shoes, boots, and coats can leave puddles on floors, which increase the risk of slipping indoors. Keep entryways clear with doormats that trap snow and moisture before entering the house. Wipe down wet shoes as soon as you come inside and place them in a safe area to dry. Additionally, if you have hardwood floors or tiles, consider placing non-slip rugs or mats to add extra traction.
5. Exercise and Stay Fit
Maintaining good physical health can also help prevent slips and falls. Regular physical activity strengthens muscles, improves balance, and enhances flexibility, all of which help reduce the likelihood of falling in icy conditions. If possible, try exercises that specifically target your core and legs, which are essential for stability and balance. For those who feel unsteady, consider using a cane or walking aid for extra support. If you live in Ottawa and need a little extra help, Carefor’s rehabilitation team can come to you in the privacy and convenience of your own home. Our physiotherapists offer private services to help you maintain strength and our occupational therapists can assess your home to help it stay a safe environment. Additionally, our Personal Support Workers work across Eastern Ontario to offer help for you or your loved one with some of those challenging daily and personal tasks which might result in falls.
Supports and resources in Ottawa and Eastern Ontario for your loved one living with Alzheimer’s or dementia.
Caring for a loved one with Alzheimer’s or other forms of dementia presents unique challenges, particularly when the goal is to allow them to stay in their familiar home environment. With the right strategies, adjustments, and support systems in place, many individuals with dementia can live comfortably at home for a significant period. However, dementia is a progressive disease, and there will come a time when the decision to move to a retirement or memory care facility becomes necessary.
Understanding how to create a supportive home environment and knowing when it’s time for a professional care setting are key to ensuring the well-being of your loved one.
Creating a Safe and Comfortable Home Environment
Safety and familiarity are essential for someone with Alzheimer’s or dementia. One of the first steps in supporting a loved one at home is to make the living space as secure and navigable as possible. As dementia progresses, confusion, disorientation, and difficulty with movement can lead to accidents or wandering.
Offering Emotional and Cognitive Support
Dementia often affects cognitive function, but it can also impact mood, behavior, and communication. Maintaining a supportive and empathetic approach is essential for your loved one’s emotional well-being.
Coordinating Care
The best care comes from family members, but this doesn’t come without effort and coordination. It all depends on who is available and how much time each person can devote to supporting the person living with dementia. Work together to coordinate schedules and duties such as grocery shopping, meal preparation and delivery, etc, and try and maintain consistency in schedules so as not to confuse your loved one.
As dementia progresses, it can become increasingly difficult, however, for family members to provide the necessary level of care on their own. At some point, professional help becomes essential to ensure your loved one’s safety and well-being.
Knowing When It’s Time for a Retirement or Memory Care Facility
While staying at home is often the preferred choice for many people with dementia, there will come a point when the level of care needed exceeds what can be reasonably provided at home. It’s important to recognize when it’s time to explore a memory care facility or retirement home.
Looking for a retirement home
At some point you’re likely going to start looking for a retirement home for people living with dementia. Memory care units in retirement homes are becoming increasingly common as dementia becomes more prevalent in the elderly population. There are many to choose from in Ottawa and Eastern Ontario, depending on where you live.
People living with dementia seek familiarity so it is understandable how a family would do everything to keep their loved one at home; however, retirement homes like Carefor Richmond Care Home that offer dementia care have staff trained specifically in supporting people living with dementia. Additionally, homes like Richmond Care Home are designed to support people living with dementia through their layout and décor.
Final Thoughts
Helping your loved one live at home with dementia requires patience, compassion, and the willingness to adapt. By making home modifications, providing emotional support, and seeking professional help when needed, you can ensure they live as comfortably and safely as possible.
However, when their care needs exceed what you can manage, it’s crucial to recognize the signs that it’s time for a memory care facility or retirement home. Ultimately, this decision should be based on their evolving needs and the available support system, with the goal of ensuring they receive the highest quality of care in a safe, compassionate environment.
If you decide that the time is right to move your loved one into a retirement home, we hope you take peace of mind knowing that they will be cared for in a secure environment with trained professionals. While it’s never an easy decision to make, a caregiver should also consider their own well-being and know when it’s time to make this move that you’re doing so for the benefit of all involved.
For more information on finding the right retirement home for your loved one, click here or here.
The Client Care Services Leadership team (Directors, Managers, and Supervisors) met on October 9th, 2024 for a full day of Leadership Development with a focus on coming together as one aligned Client Care Services team.
The goal was to learn from each other, look to future synergies outside of each business line: Ontario Health at Home, Community Support Services & Hospice, and Retirement Homes.
We reviewed our strategic priorities, each director presented their enabling priorities, and each manager showcased their team, programs, and workplans at a high level. We quickly identified synergies and opportunities to break silos and work differently together through learning about some in-house expertise that can be leveraged. We also engaged in a few team-building fun exercises (see pictures) and several self-reflection exercises. This helped us think about why we work in healthcare and at Carefor. We wanted to reflect about how we manage the current change environment internally and externally especially that we continue to aim to achieve excellent quality of care/services. Jessica Peters reintroduced her Client Care Quality Framework to help us anchor ourselves in a methodology that is certain to help us achieve excellent quality client care.
We received early feedback. The team enjoyed their day, learned plenty, and left tired yet energized for more days like this !! We all agreed there is a lot of work ahead of us, yet we all have a better appreciation for how we can leverage each other better to help us succeed. Our leaders have been very gracious in providing early feedback: “This was the best leadership development I’ve ever participated in! I enjoyed learning about others’ program presentations and loved that I could showcase my successes. This was a very engaging session !
We extend a big thank you to the ELT who sponsored this event and recognized the Client Care Services team needed this to help anchor itself into one aligned team!!
Statistics show that most seniors want to remain in their homes as they age. With seniors living longer and the Baby Boom generation now in their later years there are more people over 65 years of age than ever, and more people working to age at home than ever.
Being able to age in place, however, does require some planning. As we age there are aspects of our lives that can become harder or impossible. Here we go over some steps you can take for yourself or a loved one to continue to age at home as long as possible.
Renovations and Resources
The topic of aging in place has become increasingly popular and with that there are more resources and supports to be able to help you with the multitude of aspects, opportunities and decisions available to you. The Government of Canada has a convenient checklist on the things you should consider when planning on aging in place.
There is also the Ontario Renovates program which offers “financial assistance to low-income seniors and to persons with disabilities for essential repairs and accessibility modifications to support independent living”.
Also, the Council on Aging has numerous resources on Aging in Place with Home Modifications.
Accessing Community Support Services
Throughout Eastern Ontario there are agencies like Carefor that help you age at home. Here are some below:
Carefor
Champlain Healthline
Government of Ontario
Assessing Your Home Environment
The first step in planning to age in place is to evaluate your current living situation. Consider the layout of your home: are there stairs, narrow hallways, or other obstacles that could pose challenges as mobility decreases? Simple modifications can make a significant difference. Installing grab bars in the bathroom, ensuring good lighting throughout the home, and removing tripping hazards like loose rugs can enhance safety. A home assessment by an occupational therapist can provide tailored recommendations for modifications that suit individual needs.
Planning for Health Care Needs
As we age, health care needs often become more complex. It’s essential to have a plan in place for managing health conditions and medications. Regular check-ups with healthcare providers can help catch potential issues early. Additionally, consider the benefits of telehealth services, which can provide easy access to medical professionals without the need for travel.
Building a Support Network
A robust support network is crucial for aging in place successfully. This includes family, friends, and neighbors who can provide assistance when needed. Open communication about your desires and needs is vital. Furthermore, consider local community resources, such as senior centers or volunteer services, which can offer social activities and companionship.
Embracing Technology
Technology plays an increasingly important role in helping individuals age in place. Smart home devices can enhance safety and convenience, from automated lighting systems to smart speakers that can assist with reminders or communication. Familiarizing yourself with these technologies can empower independence and ensure that help is readily available if needed.
Financial Planning
Aging in place can involve various costs, from home modifications to ongoing healthcare expenses. It’s wise to assess your financial situation and consider long-term care insurance options. Creating a budget that accounts for potential changes in living arrangements or health care needs can alleviate stress in the future.
As our parents age, they may face various challenges, including loneliness, health issues, and loss of loved ones, all of which can contribute to depression. Recognizing the signs of depression in an elderly parent is crucial for providing the support they need. Here are some effective strategies to help them navigate this difficult time.
Recognize the Signs
Understanding the signs of depression is the first step. Symptoms may include persistent sadness, withdrawal from activities they once enjoyed, changes in appetite or sleep patterns, fatigue, and difficulty concentrating. If you notice these changes, approach the topic gently and express your concern.
Open Lines of Communication
Creating a safe space for conversation is essential. Encourage your parent to share their feelings without judgment. Active listening is key; sometimes, simply being there and allowing them to express themselves can provide immense relief. Validate their feelings and reassure them that it’s okay to seek help.
Encourage Professional Help
If you suspect your parent is struggling with depression, encourage them to speak with a healthcare professional. A doctor or therapist can provide a proper diagnosis and recommend treatment options, which may include therapy or medication. Offer to accompany them to appointments for support, as this can ease anxiety.
Promote Social Interaction
Isolation can exacerbate depression, so help your parent maintain social connections. Encourage them to participate in community activities, join clubs, or attend local events. If mobility is an issue, suggest virtual meetups with friends or family. Regular social interaction can combat feelings of loneliness and foster a sense of belonging.
Engage in Physical Activity
Physical activity is a proven mood booster. Encourage your parent to engage in gentle exercises, such as walking, gardening, or joining a senior fitness class. Even simple activities like stretching or light yoga can help improve their mood and overall well-being.
Foster a Routine
Establishing a daily routine can provide structure and purpose. Encourage your parent to set small, achievable goals, whether it’s reading a book, completing a puzzle, or cooking a meal. This can help create a sense of accomplishment and normalcy.
Offer Practical Support
Sometimes, practical help can alleviate stress. Assist with household chores, meal preparation, or running errands. Providing this support can ease feelings of overwhelm and demonstrate your love and commitment.
Additional Information
Here is some additional information:
Resources
Here are some mental health resources for seniors in Eastern Ontario
Supporting an elderly parent with depression requires patience, understanding, and empathy. By recognizing the signs, encouraging communication, promoting social interaction, and offering practical assistance, you can help your parent navigate this challenging time. Remember, seeking professional help is crucial, and being there for them every step of the way can make a significant difference in their journey toward recovery.
Today, September 30, marks the National Day for Truth and Reconciliation, a day when Canadians honour the survivors of residential and day schools, remember those who never returned home, and acknowledge the ongoing trauma experienced by Indigenous families and communities. This day also serves as an annual reminder of the importance of committing to the ongoing process of truth and reconciliation with First Nations, Inuit, and Métis across Canada.
Reconciliation is a responsibility shared by all Canadians. It requires us to confront and acknowledge our history while working together to ensure these injustices are never repeated.
As a healthcare agency, we at Carefor, recognize the inequities that Indigenous people in Canada have faced in our healthcare system. We are a committed partner in changing the story for Indigenous people and are committed to truth, equity, and reconciliation as we embark on a new chapter through our Equity, Diversity, Inclusion, and Anti-Racism strategy.
We encourage everyone to reflect on how you can contribute to reconciliation in your personal and professional lives. To honour the path of Truth and Reconciliation, take this opportunity to learn more about Indigenous history and the legacy of the residential school system.
Here are a few sources.
Indigenous History in Canda:
We understand that today may be especially difficult for many, as it brings up reflections on confronting past traumas. If you need support, please reach out to the following resources:
Miigwech, (from the Algonquin dialect of Ojibwe meaning thank you)
Steve Perry Amy Boudreau
Presidents & CEO Vice-President, People, Strategy, Performance & Partnerships
September is Alzheimer’s Awareness Month and while it’s a month where additional attention is given to the disease, for those who are living with it, they never stop focusing on it. Resources are essential to those dealing with the day-to-day reality of living with Alzheimer’s and dementia. Below are some local resources to support you and your loved one in managing the effects of Alzheimer’s and Dementia.
2. Dementia Society of Ottawa and Renfrew County
3. Champlain Dementia Network
4. Alzheimer Society of Canada
5. Champlain Healthline
6. Bruyère Memory Program
7. Seniors’ Centres and Community Programs
These organizations and services can offer a range of services from direct support and education to help navigating the healthcare system and accessing local resources.
As we age, having clear and meaningful goals becomes increasingly important for maintaining a sense of purpose and well-being. For seniors, setting and pursuing goals can significantly enhance their quality of life, foster independence, and support overall health.
Too often people think that goals are for the young, but continuing to focus your energy on activities and pursuits not only help maintain vitality, they also delay the effects aging. Goals don’t have to be anything monumental and can be something as simple as walking further on your evening walks or growing vegetables on your back deck.
1. Enhancing Mental Health
Setting goals provides a sense of purpose and direction, which is crucial for mental well-being. As people age, they may face transitions such as retirement or the loss of loved ones, which can lead to feelings of purposelessness or isolation. By establishing personal goals, whether they are related to learning a new skill, volunteering, or pursuing a hobby, seniors can maintain a sense of achievement and connection. This engagement helps combat feelings of loneliness and depression, promoting a more positive outlook on life.
2. Promoting Physical Health
Physical activity is essential for healthy aging, and setting fitness goals can significantly impact physical health. Regular exercise improves cardiovascular health, strengthens muscles, and enhances balance, reducing the risk of falls and chronic illnesses. Goals like walking a certain distance each week or attending exercise classes can help seniors stay motivated and consistent with their physical activity. Additionally, focusing on goals related to nutrition and healthy eating supports overall well-being and energy levels.
3. Encouraging Lifelong Learning
Lifelong learning is another important aspect of aging well. Setting goals related to intellectual growth, such as taking a class, reading regularly, or learning a new language, keeps the mind active and engaged. Continuous learning stimulates cognitive function and can delay the onset of cognitive decline. Engaging in new and challenging activities also fosters a sense of accomplishment and curiosity, which are vital for a vibrant life.
4. Supporting Social Connections
Social engagement is key to emotional health, and setting goals to maintain or expand social connections can have profound benefits. Goals might include joining a club, attending social events, or reaching out to friends and family regularly. Maintaining strong social ties helps prevent isolation and provides a network of support, contributing to a more fulfilling and connected life.
5. Fostering Independence and Autonomy
Goals that focus on maintaining or enhancing independence are crucial for seniors. This can involve setting objectives related to home safety modifications, such as installing grab bars or improving lighting, or learning new technologies to aid daily living. By working towards these goals, seniors can remain self-sufficient and confident in managing their own lives.
In conclusion, setting goals is a powerful tool for seniors to enhance their mental, physical, and emotional well-being. By pursuing meaningful objectives, seniors can enjoy a richer, more fulfilling life, characterized by a sense of purpose, active engagement, and sustained independence.
Climate change is increasingly affecting everyone, but older adults are particularly vulnerable to its impacts. As global temperatures rise, the frequency and intensity of extreme weather events, such as heatwaves, hurricanes, and floods, are also increasing. These changes pose significant risks to older adults, who may have pre-existing health conditions, reduced mobility, and limited access to resources, making it harder for them to cope with and recover from these events.
One of the most immediate threats from climate change for older adults is extreme heat. Heatwaves, which are becoming more frequent and severe, can lead to heat exhaustion, heatstroke, and exacerbation of chronic conditions like heart disease and respiratory problems. Older adults may be less able to regulate their body temperature and might not sense temperature changes as acutely, increasing their risk of heat-related illnesses.
Additionally, older adults are more likely to be isolated, which can compound the dangers of climate-related disasters. For instance, during hurricanes or floods, they may find it challenging to evacuate quickly due to physical limitations or lack of transportation. Moreover, social isolation can mean that they are less likely to receive timely help from neighbors or community members during emergencies.
To protect themselves from the adverse effects of climate change, older adults can take several proactive steps. First, they should stay informed about the weather and have a plan in place for extreme events. This includes knowing the nearest cooling centers during a heatwave or evacuation routes in case of a flood or wildfire. They should also prepare an emergency kit with essential supplies like medications, water, non-perishable food, and important documents.
Another crucial step is to maintain social connections. Staying in touch with family, friends, or neighbors can ensure that someone is available to check on them during extreme weather events or emergencies. It’s also important for older adults to discuss their specific needs with their healthcare providers, who can offer advice on managing health conditions during extreme weather.
Finally, making homes more resilient to climate change is vital. This could involve installing air conditioning, securing windows and doors against strong winds, or elevating electrical systems to prevent flood damage. For those with limited financial means, seeking out community resources or local government programs that provide assistance in home modifications can be beneficial.
In summary, while climate change presents significant challenges for older adults, by staying informed, preparing in advance, and fostering strong social connections, they can better protect themselves and enhance their resilience in the face of a changing climate. Carefor’s health and wellness clinics in Ottawa and Eastern Counties can offer support to seniors on how to protect themselves against climate change
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